Rehabilitation Guidelines for AC Joint Reconstruction

Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Verma or either Physician Assistant supersede the instructions below and should be followed.

Weeks 1-6:

• No formal PT x6 weeks
• Sling for 6 weeks
• AROM at elbow and wrist only
• Grip strengthening OK

Weeks 6-12:

• PROM 0-90 FF, 0-45 ABD MAX, ER/IR as tolerated
• Elbow / wrist / hand ROM ok
• NO cross body adduction for 8 weeks
• Isometric exercises in all planes
• NO RROM shoulder flexion until 12 weeks post-op

Weeks 12+:

• Progressive full AAROM > AROM of the shoulder
• Isotonic shoulder exercises
• NO RROM shoulder flexion until 12 week post-op, and has regained range of motion.